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同时存在的结肠癌和肠道逆转:一个罕见的解剖学和瘤学挑战

Nicolás Lavorato¹, Alejandro Moreira Grecco¹, Tomás Flores¹

¹Hospital de Clínicas "José de San Martín". Ciudad Autónoma de Buenos Aires, Argentina. Hospital de Clínicas José de San Martín Hospital de Clínicas "José de San Martín" Ciudad Autónoma de Buenos Aires Argentina.

Acta gastroenterologica Latinoamericana

|December 4, 2025

概括

肠道恶性转移是一种先天性异常,在结肠癌发生时,会带来诊断和治疗挑战. 这种罕见的疾病很少影响成年人,需要在临床实践中仔细考虑.

科学领域:

胃肠病学胃肠病学
手术瘤学手术瘤学
儿科手术儿科手术

背景情况:

肠道恶性旋转是一种由于胎儿肠道旋转异常而产生的先天性异常,每500至6000名活产婴儿中就有1例发生.
成年人呈现肠道恶性旋转是不常见的,在这个人口群中,CT扫描中仅在0.17%的CT扫描中确定.
结肠癌与肠道恶性转移的同时存在引发了重大诊断和治疗复杂性.

研究的目的:

要突出与肠道恶性转化患者结肠癌相关的诊断和治疗挑战.
强调成年人肠道转变不良的罕见性及其对癌症管理的影响.
为了强调在结肠癌的评估中考虑恶性转换的重要性.

主要方法:

对有关肠道恶性转换和结肠癌的现有文献的综述.
分析涉及两种疾病患者的案例研究.
讨论与恶性旋转和结肠癌相关的成像和手术技术.

主要成果:

肠道恶性旋转使结肠癌的诊断复杂化,原因是改变了解剖结构.
在不良转换的患者中,结肠癌的手术方法需要专门的技术.
如果不识别恶性旋转,可能会出现延迟诊断或低于最佳的治疗.

结论:

肠道转变不良的存在显著影响结肠癌的管理.
多学科的合作对于最佳的患者结果至关重要.
需要进一步的研究,以建立标准化指导方针来管理肠道转化不良患者的结肠癌.

关键词:

肠道恶性旋转是指肠道恶性旋转.结肠直肠癌是什么意思

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